Active NPI
Kelly Rubenacker
- Mental Health Counselor
- Auburn, WA
National Provider Identifier
1063142131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 70141287
- Practice address
- 4238 Auburn Way N
Auburn, WA 98002-1311 - Phone
- (206) 251-8237
- NPI assigned
- Jun 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 70141287 | WA | Primary |
Addresses
Primary practice location
4238 Auburn Way N
Auburn, WA 98002-1311
Mailing address
6400 Southcenter Blvd
Tukwila, WA 98188-2547
Phone (206) 251-8237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1063142131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 SOUTHCENTER BLVD",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882547",
"telephone_number": "206-251-8237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4238 AUBURN WAY N",
"city": "AUBURN",
"state": "WA",
"postal_code": "980021311",
"telephone_number": "206-251-8237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBENACKER",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-13",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "70141287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.